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BMC genomics2020; 21(1); 843; doi: 10.1186/s12864-020-07228-z

Differential gene expression analysis reveals pathways important in early post-traumatic osteoarthritis in an equine model.

Abstract: Post-traumatic osteoarthritis (PTOA) is a common and significant problem in equine athletes. It is a disease of the entire joint, with the synovium thought to be a key player in disease onset and progression due to its role in inflammation. The development of effective tools for early diagnosis and treatment of PTOA remains an elusive goal. Altered gene expression represents the earliest discernable disease-related change, and can provide valuable information about disease pathogenesis and identify potential therapeutic targets. However, there is limited work examining global gene expression changes in early disease. In this study, we quantified gene expression changes in the synovium of osteoarthritis-affected joints using an equine metacarpophalangeal joint (MCPJ) chip model of early PTOA. Synovial samples were collected arthroscopically from the MCPJ of 11 adult horses before (preOA) and after (OA) surgical induction of osteoarthritis and from sham-operated joints. After sequencing synovial RNA, Salmon was used to quasi-map reads and quantify transcript abundances. Differential expression analysis with the limma-trend method used a fold-change cutoff of log2(1.1). Functional annotation was performed with PANTHER at FDR < 0.05. Pathway and network analyses were performed in Reactome and STRING, respectively. Results: RNA was sequenced from 28 samples (6 preOA, 11 OA, 11 sham). "Sham" and "preOA" were not different and were grouped. Three hundred ninety-seven genes were upregulated and 365 downregulated in OA synovium compared to unaffected. Gene ontology (GO) terms related to extracellular matrix (ECM) organization, angiogenesis, and cell signaling were overrepresented. There were 17 enriched pathways, involved in ECM turnover, protein metabolism, and growth factor signaling. Network analysis revealed clusters of differentially expressed genes involved in ECM organization, endothelial regulation, and cellular metabolism. Conclusions: Enriched pathways and overrepresented GO terms reflected a state of high metabolic activity and tissue turnover in OA-affected tissue, suggesting that the synovium may retain the capacity to support healing and homeostasis in early disease. Limitations of this study include small sample size and capture of one point post-injury. Differentially expressed genes within key pathways may represent potential diagnostic markers or therapeutic targets for PTOA. Mechanistic validation of these findings is an important next step.
Publication Date: 2020-11-30 PubMed ID: 33256611PubMed Central: PMC7708211DOI: 10.1186/s12864-020-07228-zGoogle Scholar: Lookup
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  • Journal Article

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

This research attempts to understand the early stages of post-traumatic osteoarthritis (PTOA) in horses by examining the changes in gene expression in the synovium of affected joints. By doing so, the researchers hope to identify potential diagnostic markers and therapeutic targets for this illness.

Methodology

  • To study the genetic changes related to early-stage PTOA, the researchers used the metacarpophalangeal joint (MCPJ) chip model in 11 adult horses.
  • They collected synovial samples from these horses both before and after the surgical induction of osteoarthritis, as well as from sham-operated joints.
  • Next, RNA was extracted and sequenced from these samples.
  • The sequenced RNA samples were then quasi-mapped and had their transcript abundances quantified using a software package called Salmon.
  • Differential expression analysis was conducted to identify changes in gene expression.
  • Another tool, PANTHER, was used for functional annotation.
  • Lastly, the researchers categorized identified genes into pathways and performed network analyses using Reactome and STRING.

Results

  • From a total of 28 samples, the researchers found 397 genes upregulated and 365 downregulated in the osteoarthritis-affected synovium in comparison to unaffected ones.
  • The Gene Ontology (GO) terms related to extracellular matrix organization, angiogenesis, and cell signaling were overrepresented amongst the differentially expressed genes.
  • Seventeen enriched pathways were identified, which could be categorized as being involved in the extracellular matrix turnover, protein metabolism, and growth factor signaling.
  • Furthermore, network analysis revealed clusters of differentially expressed genes involved in extracellular matrix organization, endothelial regulation, and cellular metabolism.

Conclusions

  • Overrepresented GO terms and enriched pathways suggest a condition of high metabolic activity and tissue turnover in the osteoarthritis-affected tissue. This could mean that the synovium may still have the capacity to heal itself and maintain homeostasis in the early stages of the disease.
  • The identified differentially expressed genes within key pathways show potential as diagnostic markers or therapeutic targets for PTOA.
  • The study’s limitations include a small sample size and the capture of a single point post-injury. Therefore, mechanistic validation of these findings is proposed as the next step in this study.

Cite This Article

APA
McCoy AM, Kemper AM, Boyce MK, Brown MP, Trumble TN. (2020). Differential gene expression analysis reveals pathways important in early post-traumatic osteoarthritis in an equine model. BMC Genomics, 21(1), 843. https://doi.org/10.1186/s12864-020-07228-z

Publication

ISSN: 1471-2164
NlmUniqueID: 100965258
Country: England
Language: English
Volume: 21
Issue: 1
Pages: 843
PII: 843

Researcher Affiliations

McCoy, Annette M
  • Department of Veterinary Clinical Medicine, University of Illinois Urbana-Champaign, 1008 W Hazelwood Dr, Urbana, IL, USA. mccoya@illinois.edu.
Kemper, Ann M
  • Department of Veterinary Clinical Medicine, University of Illinois Urbana-Champaign, 1008 W Hazelwood Dr, Urbana, IL, USA.
Boyce, Mary K
  • Veterinary Population Medicine Department, University of Minnesota, 1365 Gortner Ave, St. Paul, MN, USA.
  • Present Address: Crossroads Veterinary Clinic, Anderson, CA, USA.
Brown, Murray P
  • Department of Large Animal Clinical Sciences, University of Florida, 2015 SW 16th Avenue, Gainesville, FL, USA.
Trumble, Troy N
  • Veterinary Population Medicine Department, University of Minnesota, 1365 Gortner Ave, St. Paul, MN, USA.

MeSH Terms

  • Animals
  • Gene Expression
  • Gene Expression Profiling
  • Gene Ontology
  • Horses
  • Osteoarthritis / genetics
  • Synovial Membrane

Grant Funding

  • ILLU-888-387 / National Institute of Food and Agriculture

Conflict of Interest Statement

The authors declare that they have no competing interests.

References

This article includes 51 references
  1. Martel-Pelletier J, Pelletier JP. Is osteoarthritis a disease involving only cartilage or other articular tissues?. Eklem Hastalik Cerrahisi 2010 Apr;21(1):2-14.
    pubmed: 20302555
  2. Brandt KD, Dieppe P, Radin EL. Etiopathogenesis of osteoarthritis.. Rheum Dis Clin North Am 2008 Aug;34(3):531-59.
    doi: 10.1016/j.rdc.2008.05.011pubmed: 18687271google scholar: lookup
  3. Kramer WC, Hendricks KJ, Wang J. Pathogenetic mechanisms of posttraumatic osteoarthritis: opportunities for early intervention.. Int J Clin Exp Med 2011;4(4):285-98.
    pmc: PMC3228584pubmed: 22140600
  4. Rossdale PD, Hopes R, Digby NJ, offord K. Epidemiological study of wastage among racehorses 1982 and 1983.. Vet Rec 1985 Jan 19;116(3):66-9.
    doi: 10.1136/vr.116.3.66pubmed: 3976145google scholar: lookup
  5. Neundorf RH, Lowerison MB, Cruz AM, Thomason JJ, McEwen BJ, Hurtig MB. Determination of the prevalence and severity of metacarpophalangeal joint osteoarthritis in Thoroughbred racehorses via quantitative macroscopic evaluation.. Am J Vet Res 2010 Nov;71(11):1284-93.
    doi: 10.2460/ajvr.71.11.1284pubmed: 21034319google scholar: lookup
  6. Ireland JL, Wylie CE, Collins SN, Verheyen KL, Newton JR. Preventive health care and owner-reported disease prevalence of horses and ponies in Great Britain.. Res Vet Sci 2013 Oct;95(2):418-24.
    doi: 10.1016/j.rvsc.2013.05.007pubmed: 23768693google scholar: lookup
  7. Ireland JL, McGowan CM, Clegg PD, Chandler KJ, Pinchbeck GL. A survey of health care and disease in geriatric horses aged 30 years or older.. Vet J 2012 Apr;192(1):57-64.
    doi: 10.1016/j.tvjl.2011.03.021pubmed: 21550271google scholar: lookup
  8. Aigner T, Fundel K, Saas J, Gebhard PM, Haag J, Weiss T, Zien A, Obermayr F, Zimmer R, Bartnik E. Large-scale gene expression profiling reveals major pathogenetic pathways of cartilage degeneration in osteoarthritis.. Arthritis Rheum 2006 Nov;54(11):3533-44.
    doi: 10.1002/art.22174pubmed: 17075858google scholar: lookup
  9. Davidson RK, Waters JG, Kevorkian L, Darrah C, Cooper A, Donell ST, Clark IM. Expression profiling of metalloproteinases and their inhibitors in synovium and cartilage.. Arthritis Res Ther 2006;8(4):R124.
    doi: 10.1186/ar2013pmc: PMC1779413pubmed: 16859525google scholar: lookup
  10. Karlsson C, Dehne T, Lindahl A, Brittberg M, Pruss A, Sittinger M, Ringe J. Genome-wide expression profiling reveals new candidate genes associated with osteoarthritis.. Osteoarthritis Cartilage 2010 Apr;18(4):581-92.
    doi: 10.1016/j.joca.2009.12.002pubmed: 20060954google scholar: lookup
  11. Chou CH, Lee CH, Lu LS, Song IW, Chuang HP, Kuo SY, Wu JY, Chen YT, Kraus VB, Wu CC, Lee MT. Direct assessment of articular cartilage and underlying subchondral bone reveals a progressive gene expression change in human osteoarthritic knees.. Osteoarthritis Cartilage 2013 Mar;21(3):450-61.
    doi: 10.1016/j.joca.2012.11.016pmc: PMC3593157pubmed: 23220557google scholar: lookup
  12. Sutton S, Clutterbuck A, Harris P, Gent T, Freeman S, Foster N, Barrett-Jolley R, Mobasheri A. The contribution of the synovium, synovial derived inflammatory cytokines and neuropeptides to the pathogenesis of osteoarthritis.. Vet J 2009 Jan;179(1):10-24.
    doi: 10.1016/j.tvjl.2007.08.013pubmed: 17911037google scholar: lookup
  13. Lotz MK, Kraus VB. New developments in osteoarthritis. Posttraumatic osteoarthritis: pathogenesis and pharmacological treatment options.. Arthritis Res Ther 2010;12(3):211.
    doi: 10.1186/ar3046pmc: PMC2911903pubmed: 20602810google scholar: lookup
  14. Frisbie DD, Ghivizzani SC, Robbins PD, Evans CH, McIlwraith CW. Treatment of experimental equine osteoarthritis by in vivo delivery of the equine interleukin-1 receptor antagonist gene.. Gene Ther 2002 Jan;9(1):12-20.
    doi: 10.1038/sj.gt.3301608pubmed: 11850718google scholar: lookup
  15. Wassilew GI, Lehnigk U, Duda GN, Taylor WR, Matziolis G, Dynybil C. The expression of proinflammatory cytokines and matrix metalloproteinases in the synovial membranes of patients with osteoarthritis compared with traumatic knee disorders.. Arthroscopy 2010 Aug;26(8):1096-104.
    doi: 10.1016/j.arthro.2009.12.018pubmed: 20678708google scholar: lookup
  16. Boyce MK, Trumble TN, Carlson CS, Groschen DM, Merritt KA, Brown MP. Non-terminal animal model of post-traumatic osteoarthritis induced by acute joint injury.. Osteoarthritis Cartilage 2013 May;21(5):746-55.
    doi: 10.1016/j.joca.2013.02.653pmc: PMC3624059pubmed: 23467035google scholar: lookup
  17. Aigner T. Cartilage in osteoarthritic joints is not automatically osteoarthritic cartilage.. Development 2006 Sep;133(18):3497-8.
    doi: 10.1242/dev.02532pubmed: 16936071google scholar: lookup
  18. Sato T, Konomi K, Yamasaki S, Aratani S, Tsuchimochi K, Yokouchi M, Masuko-Hongo K, Yagishita N, Nakamura H, Komiya S, Beppu M, Aoki H, Nishioka K, Nakajima T. Comparative analysis of gene expression profiles in intact and damaged regions of human osteoarthritic cartilage.. Arthritis Rheum 2006 Mar;54(3):808-17.
    doi: 10.1002/art.21638pubmed: 16508957google scholar: lookup
  19. Xu Y, Barter MJ, Swan DC, Rankin KS, Rowan AD, Santibanez-Koref M, Loughlin J, Young DA. Identification of the pathogenic pathways in osteoarthritic hip cartilage: commonality and discord between hip and knee OA.. Osteoarthritis Cartilage 2012 Sep;20(9):1029-38.
    doi: 10.1016/j.joca.2012.05.006pubmed: 22659600google scholar: lookup
  20. Chou CH, Wu CC, Song IW, Chuang HP, Lu LS, Chang JH, Kuo SY, Lee CH, Wu JY, Chen YT, Kraus VB, Lee MT. Genome-wide expression profiles of subchondral bone in osteoarthritis.. Arthritis Res Ther 2013;15(6):R190.
    doi: 10.1186/ar4380pmc: PMC3979015pubmed: 24229462google scholar: lookup
  21. Lambert C, Dubuc JE, Montell E, Vergés J, Munaut C, Noël A, Henrotin Y. Gene expression pattern of cells from inflamed and normal areas of osteoarthritis synovial membrane.. Arthritis Rheumatol 2014 Apr;66(4):960-8.
    doi: 10.1002/art.38315pmc: PMC4033569pubmed: 24757147google scholar: lookup
  22. Remst DF, Blom AB, Vitters EL, Bank RA, van den Berg WB, Blaney Davidson EN, van der Kraan PM. Gene expression analysis of murine and human osteoarthritis synovium reveals elevation of transforming growth factor β-responsive genes in osteoarthritis-related fibrosis.. Arthritis Rheumatol 2014 Mar;66(3):647-56.
    doi: 10.1002/art.38266pubmed: 24574225google scholar: lookup
  23. Zhu N, Zhang P, Du L, Hou J, Xu B. Identification of key genes and expression profiles in osteoarthritis by co-expressed network analysis.. Comput Biol Chem 2020 Apr;85:107225.
  24. Haeusler G, Walter I, Helmreich M, Egerbacher M. Localization of matrix metalloproteinases, (MMPs) their tissue inhibitors, and vascular endothelial growth factor (VEGF) in growth plates of children and adolescents indicates a role for MMPs in human postnatal growth and skeletal maturation.. Calcif Tissue Int 2005 May;76(5):326-35.
    doi: 10.1007/s00223-004-0161-6pubmed: 15868281google scholar: lookup
  25. Li H, Wang D, Yuan Y, Min J. New insights on the MMP-13 regulatory network in the pathogenesis of early osteoarthritis.. Arthritis Res Ther 2017 Nov 10;19(1):248.
    doi: 10.1186/s13075-017-1454-2pmc: PMC5681770pubmed: 29126436google scholar: lookup
  26. Pickarski M, Hayami T, Zhuo Y, Duong LT. Molecular changes in articular cartilage and subchondral bone in the rat anterior cruciate ligament transection and meniscectomized models of osteoarthritis.. BMC Musculoskelet Disord 2011 Aug 24;12:197.
    doi: 10.1186/1471-2474-12-197pmc: PMC3176489pubmed: 21864409google scholar: lookup
  27. Xiao D, Bi R, Liu X, Mei J, Jiang N, Zhu S. Notch Signaling Regulates MMP-13 Expression via Runx2 in Chondrocytes.. Sci Rep 2019 Oct 30;9(1):15596.
    doi: 10.1038/s41598-019-52125-5pmc: PMC6821756pubmed: 31666602google scholar: lookup
  28. Cui N, Hu M, Khalil RA. Biochemical and Biological Attributes of Matrix Metalloproteinases.. Prog Mol Biol Transl Sci 2017;147:1-73.
  29. Martel-Pelletier J, Di Battista JA, Lajeunesse D, Pelletier JP. IGF/IGFBP axis in cartilage and bone in osteoarthritis pathogenesis.. Inflamm Res 1998 Mar;47(3):90-100.
    doi: 10.1007/s000110050288pubmed: 9562333google scholar: lookup
  30. Hayami T, Pickarski M, Zhuo Y, Wesolowski GA, Rodan GA, Duong LT. Characterization of articular cartilage and subchondral bone changes in the rat anterior cruciate ligament transection and meniscectomized models of osteoarthritis.. Bone 2006 Feb;38(2):234-43.
    doi: 10.1016/j.bone.2005.08.007pubmed: 16185945google scholar: lookup
  31. Ayturk UM, Sieker JT, Haslauer CM, Proffen BL, Weissenberger MH, Warman ML, Fleming BC, Murray MM. Proteolysis and cartilage development are activated in the synovium after surgical induction of post traumatic osteoarthritis.. PLoS One 2020;15(2):e0229449.
  32. Bolger AM, Lohse M, Usadel B. Trimmomatic: a flexible trimmer for Illumina sequence data.. Bioinformatics 2014 Aug 1;30(15):2114-20.
  33. Ewels P, Magnusson M, Lundin S, Käller M. MultiQC: summarize analysis results for multiple tools and samples in a single report.. Bioinformatics 2016 Oct 1;32(19):3047-8.
  34. Patro R, Duggal G, Love MI, Irizarry RA, Kingsford C. Salmon provides fast and bias-aware quantification of transcript expression.. Nat Methods 2017 Apr;14(4):417-419.
    doi: 10.1038/nmeth.4197pmc: PMC5600148pubmed: 28263959google scholar: lookup
  35. Soneson C, Love MI, Robinson MD. Differential analyses for RNA-seq: transcript-level estimates improve gene-level inferences.. F1000Res 2015;4:1521.
  36. Robinson MD, McCarthy DJ, Smyth GK. edgeR: a Bioconductor package for differential expression analysis of digital gene expression data.. Bioinformatics 2010 Jan 1;26(1):139-40.
  37. Leek JT, Storey JD. Capturing heterogeneity in gene expression studies by surrogate variable analysis.. PLoS Genet 2007 Sep;3(9):1724-35.
  38. Leek JT, Storey JD. A general framework for multiple testing dependence.. Proc Natl Acad Sci U S A 2008 Dec 2;105(48):18718-23.
    doi: 10.1073/pnas.0808709105pmc: PMC2586646pubmed: 19033188google scholar: lookup
  39. Leek JT. svaseq: removing batch effects and other unwanted noise from sequencing data.. Nucleic Acids Res 2014 Dec 1;42(21):e161.
    doi: 10.1093/nar/gku864pmc: PMC4245966pubmed: 25294822google scholar: lookup
  40. Leek JT, Johnson WE, Parker HS, Fertig EJ, Jaffe AE, Storey JD. Sva: surrogate variable analysis. R package version 3.34.0. 2019.
  41. Ritchie ME, Phipson B, Wu D, Hu Y, Law CW, Shi W, Smyth GK. limma powers differential expression analyses for RNA-sequencing and microarray studies.. Nucleic Acids Res 2015 Apr 20;43(7):e47.
    doi: 10.1093/nar/gkv007pmc: PMC4402510pubmed: 25605792google scholar: lookup
  42. Law CW, Chen Y, Shi W, Smyth GK. voom: Precision weights unlock linear model analysis tools for RNA-seq read counts.. Genome Biol 2014 Feb 3;15(2):R29.
    doi: 10.1186/gb-2014-15-2-r29pmc: PMC4053721pubmed: 24485249google scholar: lookup
  43. McCarthy DJ, Smyth GK. Testing significance relative to a fold-change threshold is a TREAT.. Bioinformatics 2009 Mar 15;25(6):765-71.
  44. Benjamini YH, Hochberg Y. Controlling the false discovery rate: a practical and powerful approach to multiple testing. J Royal Stat Soc Series B 1995;57:289–300.
  45. Huber W, Carey VJ, Gentleman R, Anders S, Carlson M, Carvalho BS, Bravo HC, Davis S, Gatto L, Girke T, Gottardo R, Hahne F, Hansen KD, Irizarry RA, Lawrence M, Love MI, MacDonald J, Obenchain V, Oleś AK, Pagès H, Reyes A, Shannon P, Smyth GK, Tenenbaum D, Waldron L, Morgan M. Orchestrating high-throughput genomic analysis with Bioconductor.. Nat Methods 2015 Feb;12(2):115-21.
    doi: 10.1038/nmeth.3252pmc: PMC4509590pubmed: 25633503google scholar: lookup
  46. Morgan M. AnnotationHub: client to access AnnotationHub resources. R package version 2.16.0. 2019.
  47. Huerta-Cepas J, Szklarczyk D, Forslund K, Cook H, Heller D, Walter MC, Rattei T, Mende DR, Sunagawa S, Kuhn M, Jensen LJ, von Mering C, Bork P. eggNOG 4.5: a hierarchical orthology framework with improved functional annotations for eukaryotic, prokaryotic and viral sequences.. Nucleic Acids Res 2016 Jan 4;44(D1):D286-93.
    doi: 10.1093/nar/gkv1248pmc: PMC4702882pubmed: 26582926google scholar: lookup
  48. Thomas PD, Campbell MJ, Kejariwal A, Mi H, Karlak B, Daverman R, Diemer K, Muruganujan A, Narechania A. PANTHER: a library of protein families and subfamilies indexed by function.. Genome Res 2003 Sep;13(9):2129-41.
    doi: 10.1101/gr.772403pmc: PMC403709pubmed: 12952881google scholar: lookup
  49. Mi H, Dong Q, Muruganujan A, Gaudet P, Lewis S, Thomas PD. PANTHER version 7: improved phylogenetic trees, orthologs and collaboration with the Gene Ontology Consortium.. Nucleic Acids Res 2010 Jan;38(Database issue):D204-10.
    doi: 10.1093/nar/gkp1019pmc: PMC2808919pubmed: 20015972google scholar: lookup
  50. Fabregat A, Jupe S, Matthews L, Sidiropoulos K, Gillespie M, Garapati P, Haw R, Jassal B, Korninger F, May B, Milacic M, Roca CD, Rothfels K, Sevilla C, Shamovsky V, Shorser S, Varusai T, Viteri G, Weiser J, Wu G, Stein L, Hermjakob H, D'Eustachio P. The Reactome Pathway Knowledgebase.. Nucleic Acids Res 2018 Jan 4;46(D1):D649-D655.
    doi: 10.1093/nar/gkx1132pmc: PMC5753187pubmed: 29145629google scholar: lookup
  51. Szklarczyk D, Gable AL, Lyon D, Junge A, Wyder S, Huerta-Cepas J, Simonovic M, Doncheva NT, Morris JH, Bork P, Jensen LJ, Mering CV. STRING v11: protein-protein association networks with increased coverage, supporting functional discovery in genome-wide experimental datasets.. Nucleic Acids Res 2019 Jan 8;47(D1):D607-D613.
    doi: 10.1093/nar/gky1131pmc: PMC6323986pubmed: 30476243google scholar: lookup

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  1. Donnenfield JI, Karamchedu NP, Proffen BL, Molino J, Fleming BC, Murray MM. Transcriptomic changes in porcine articular cartilage one year following disruption of the anterior cruciate ligament. PLoS One 2023;18(5):e0284777.
    doi: 10.1371/journal.pone.0284777pubmed: 37134114google scholar: lookup
  2. He C, Clark KL, Tan J, Zhou H, Tuan RS, Lin H, Wu S, Alexander PG. Modeling early changes associated with cartilage trauma using human-cell-laden hydrogel cartilage models. Stem Cell Res Ther 2022 Aug 4;13(1):400.
    doi: 10.1186/s13287-022-03022-8pubmed: 35927702google scholar: lookup
  3. Moore L, Pan Z, Brotto M. RNAseq of Osteoarthritic Synovial Tissues: Systematic Literary Review. Front Aging 2022;3:836791.
    doi: 10.3389/fragi.2022.836791pubmed: 35821799google scholar: lookup
  4. Aeri A, Gorla M, Sharma GT. Veterinary Regenerative Medicine: The Evolving Role of Stem Cell-Based Therapies. Stem Cell Rev Rep 2025 Nov;21(8):2484-2510.
    doi: 10.1007/s12015-025-10963-zpubmed: 40900287google scholar: lookup
  5. Han PF, Li XY, Zhang CP, Liao CS, Wang WW, Li Y. Non-targeted metabolomic study in plasma in rats with post-traumatic osteoarthritis model. PLoS One 2025;20(3):e0315708.
    doi: 10.1371/journal.pone.0315708pubmed: 40073326google scholar: lookup
  6. Atasoy-Zeybek A, Showel KK, Nagelli CV, Westendorf JJ, Evans CH. The intersection of aging and estrogen in osteoarthritis. NPJ Womens Health 2025;3(1):15.
    doi: 10.1038/s44294-025-00063-1pubmed: 40017990google scholar: lookup
  7. Gagliardi R, Koch DW, Loeser R, Schnabel LV. Matrikine stimulation of equine synovial fibroblasts and chondrocytes results in an in vitro osteoarthritis phenotype. J Orthop Res 2025 Feb;43(2):292-303.
    doi: 10.1002/jor.26004pubmed: 39486895google scholar: lookup
  8. Blackler G, Lai-Zhao Y, Klapak J, Philpott HT, Pitchers KK, Maher AR, Fiset B, Walsh LA, Gillies ER, Appleton CT. Targeting STAT6-mediated synovial macrophage activation improves pain in experimental knee osteoarthritis. Arthritis Res Ther 2024 Mar 20;26(1):73.
    doi: 10.1186/s13075-024-03309-6pubmed: 38509602google scholar: lookup